person
Nicole R. Formwalt, LPC
Professional Counselor in Mobile, Alabama
NPI 1255675146

Nicole R. Formwalt is a Professional Counselor based in Mobile, AL and is specialized in Professional. Nicole R. Formwalt practices in Mobile, AL and has the professional credentials of LPC. The NPI Number for Nicole R. Formwalt is 1255675146 and holds a License No. 2227 (Alabama).

The current practice location address for Nicole R. Formwalt is 7305 Cottage Hill Rd, Mobile, AL and can be reached out via phone at 251-422-2043. You can also correspond with Nicole R. Formwalt through the mailing address at 54 GLENWOOD ST, MOBILE, AL - 36606-1905 (mailing address contact number: 251-476-7148).

Location: 7305 Cottage Hill Rd, Mobile, AL, 36606-1905
person
Provider Profile Details
NPI Number
1255675146
Provider Name
Nicole R. Formwalt
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
7305 Cottage Hill Rd, Mobile, AL, 36606-1905
Phone Number
251-422-2043
Fax Number
Provider Enumeration Date
11/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7305 Cottage Hill Rd
City
State
Zip
36695-2829
Phone Number
251-422-2043
Fax Number
person
Provider Business Mailing Address Details
Address
7305 Cottage Hill Rd
City
State
Zip
36695-2829
Phone Number
251-422-2043
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2227 (Alabama)
Definition
Definition to come...
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